急性牙列不齐伴翼外肌部分撕裂：病例报告及文献复习。
Acute dental malocclusion associated with lateral pterygoid muscle partial tear: Case Report and literature review.
机构信息
Prosthodontics Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania.
Dental Occlusion Department, Stomestet Dental Clinic, Cluj Napoca, Romania.
出版信息
Cranio. 2024 Jan;42(1):33-39. doi: 10.1080/08869634.2021.1916301. Epub 2021 Apr 17.
BACKGROUND
The article presents a rare case of acute malocclusion produced by a unilateral partial tear of the lateral pterygoid muscle and an up-to-date literature review of the pathology.
CLINICAL PRESENTATION
A 37-year-old female was examined; her chief complaints were pain on the right side of the temporomandibular joint (TMJ) area and mastication impairment associated with major occlusal modifications and anterior open bite. After magnetic resonance imaging (MRI) and cone beam computed tomography (CBCT) of the TMJ and subsequent MRI for soft tissue, the final diagnosis was a partial right lateral pterygoid muscle tear.
CONCLUSION
The case shows the value of combined imaging in temporomandibular disorders (TMD) and the importance of soft tissue evaluation in addition to articular examination, as the primary pathology might lie outside the joint. The authors' review of the current literature did not hitherto reveal a similar case.
背景
本文报道了一例由单侧翼外肌部分撕裂引起的急性咬合不正，并对该病理学进行了最新的文献回顾。
临床表现
对一名 37 岁女性进行了检查；她的主要主诉是颞下颌关节（TMJ）区域右侧疼痛和咀嚼功能障碍，伴有严重的咬合改变和前牙开颌。在进行了 TMJ 的磁共振成像（MRI）和锥形束计算机断层扫描（CBCT）以及随后的软组织 MRI 后，最终诊断为右侧翼外肌部分撕裂。
结论
该病例显示了联合成像在颞下颌关节紊乱（TMD）中的价值，以及除关节检查外还对软组织进行评估的重要性，因为主要病变可能位于关节外。作者对当前文献的回顾迄今为止没有发现类似病例。
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